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Clinical Pediatrics
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Arizona hinshawii Meningitis in a Neonate

William R. Jarvis

Department of Pediatrics, Yale University School of Medicine

W. David Luce

Department of Pediatrics, Yale University School of Medicine

Robert Baltimore

Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut

A 3-day-old infant presented with Arizona hinshawii sepsis and meningitis. Despite parenteral chloramphenicol, A. hinshawii persisted in the cerebro spinal fluid and blood until trimethoprim-sulfamethoxazole was added. Three weeks following discharge the infant returned and A. hinshawii was re- cultured from the blood and cerebrospinal fluid. Chloramphenicol and tri methoprim-sulfamethoxazole was re-instituted and the infant recovered. This report demonstrates the potentially serious consequences of A. hinshawii infections in the neonate and emphasizes the need for proper identifica tion of this organism with appropriate biochemical tests and individualization of antimicrobial therapy.

Clinical Pediatrics, Vol. 20, No. 7, 483-484 (1981)
DOI: 10.1177/000992288102000713
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